Instructions: To reserve space you must return BOTH copies of this application form along with the required fees and Certificate of Insurance. This application, when accompanied with your check, Certificate of Insurance and countersigned by Show Management, shall become a binding contract in accordance with the Rules and Regulations. Upon acceptance by Show Management, one copy will be returned to you for your files. There will be no refunds except as stated in the Rules and Regulations. Equipment Show 2014 Ohio Expo Center 717 East 17th Avenue Columbus, Ohio 43211 September 10 & 11, 2014 (Please print clearly) 1. 7. Company / Contact Information Exhibit Space Requirements Number of spaces required (quantity) ($450.00 each before May 1, 2014) ($550.00 each after May 1, 2014) Company Name: Contact Name: Title: Mailing Address: City/State/Zip: Telephone: Fax: Email Address: Web Site Address: 2. Pricing / Order information x Less Pre-Registration Deposit (if applicable) TOTAL Location Preference The organization listed above hereby makes application for exhibit space at the OLSA Equipment Show 2014 and requests the following exhibit space(s) in order of preference. (Refer to the official Equipment Show Site Plan for display space and booth numbers.) Site assignment will be based upon number of display spaces requested and type of equipment to be displayed, receipt of this completed and signed application, full payment for the number of spaces requested and your Certificate of Insurance. Final site assignments will be made no later than July 31, 2014. Exhibitors whose products employ hoists, cranes, bucket lifts, trenchers or other demonstrations that involve above ground or overhead applications are given first priority for the outdoor exhibit areas. $ $ $ Program Advertising Refer to Exhibitors Supplement for additional information. Business Card (3 ½" x 2") = $50.00 each ½ Page (3 ½" x 4") = $75.00 each Full Page (3 ½" x 8") = $100.00 each Inside Front Cover (3 ½" x 8") = $125.00 Inside Back Cover (3 ½" x 8") = $125.00 Outside Back Cover (3 ½" x 8") = $125.00 Ads will be placed on a first come, first served basis. TOTAL $ Promotional Materials Number of promotional brochures N/C TOTAL AMOUNT ENCLOSED $ 8. Certificate of Insurance Enclosed G (Required of all exhibitors. Please refer to Page 5 of the “Exhibitor Rules & Regulations”) Indoor exhibit space 15 x 10 or multiples thereof. 1. 2. Make checks payable to OLSA Equipment Show and mail to: 3. Ohio Line Supervisors Equipment Show 6677 Busch Blvd. Columbus, OH 43229 Outdoor exhibit space 25 x 35 or multiples thereof. 1. 3. 2. 3. 4. Equipment demonstrations will be conducted Yes No Frequency: 5. Will power be required? If so, refer to enclosed Electrical Services Order Form (There will be an additional charge based upon your needs) 6. Telephone: (614) 430-7858 — Fax: (614) 846-7108 E-Mail Address: [email protected] Type of equipment/material to be displayed (Please be specific, this information is included in the program and on the website) A. This document constitutes a contract made and entered into by and among Ohio Rural Electric Cooperatives, Inc., the Ohio Line Supervisors Association (“OLSA”), and the undersigned (“Exhibitor”). This contract incorporates by reference the terms and conditions of the Ohio Line Supervisors Association Equipment Show 2014 Rules and Regulations (the “Rules and Regulations”). Exhibitor agrees to be bound by the terms of the Rules and Regulations, a copy of which Exhibitor hereby acknowledges receiving. This contract shall not be binding unless it is signed by an authorized representative of Exhibitor and is accepted by OLSA with the signature of a duly authorized representative of OLSA. OLSA reserves the right to accept or deny any application in its sole discretion. List companies you do NOT wish to be near: Authorized Signature: Type or Print Name: B. Title: List companies you wish to be near: Date: TO BE COMPLETED BY AUTHORIZED OLSA REPRESENTATIVE ONLY: Accepted for OLSA Equipment Show 2014 Signature: Date: Rate Total Fee # of Space(s) Requested $ $ Program Advertising $ $ Deposit Received: $ Date: Check No. Payment Received: $ Date: Check No.